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Adverse Childhood Experiences ACE and Breaking the Cycle of Homelessness

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Adverse Childhood Experiences ACE and Breaking the Cycle of Homelessness

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    1. Adverse Childhood Experiences (ACE) and Breaking the Cycle of Homelessness Heather Larkin, Ph.D. University at Albany, SUNY With Mike Johnson Associate Executive Director, COTS - Committee on the Shelterless Petaluma, CA Heather opens the presentation and introduces Mike, who begins with the next slideHeather opens the presentation and introduces Mike, who begins with the next slide

    2. The Committee on the Shelterless (COTS) Comprehensive, integrated programming ACE research w/ Heather Using resilience & recovery knowledge Develop a “whole person” approach (www.cots-homeless.org) Leadership & culture Mike Mike

    4. Mike finishes and introduces Dr Heather Larkin, PHd from University of Albany School of Social WorkMike finishes and introduces Dr Heather Larkin, PHd from University of Albany School of Social Work

    5. How do we become homeless? Heather beginsHeather begins

    6. Homelessness, Trauma & Recovery ACEs, adult experiences, homelessness Risk behaviors as solutions People are not the sum of their problems Body/Mind/Spirit Leverage strengths & resilience HeatherHeather

    7. HeatherHeather

    8. What are ACEs? (10 categories) Adverse Childhood Experiences Sexual abuse before age 18 Emotional abuse by parent or loved one Physical abuse by parent or loved one Emotional neglect by parent or loved one Physical neglect by parent or loved one Loss /abandonment of or by parent Witnessed abuse of a loved one Drug/alcohol abuse in the household Mental illness in the household Loved one incarcerated

    9. Adverse Childhood Experiences Score Original ACE Study More than half have at least one ACE > than 25% have 2 – 4 ACE categories 1997: ACEs & Homelessness Risk Lack of care + abuse = increase risk by factor of 26 Any ACE increased risk by factor of 8 Current Homeless Respondents > 85% ACE Score of 1 or higher > half (52.4%) ACE Score > than 4 HeatherHeather

    10. HeatherHeather

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    18. Causes of Homelessness Heather does brief explanation of quadrantsHeather does brief explanation of quadrants

    19. OK, SO WHAT CAN WE DO ABOUT IT? Mike Begins again hereMike Begins again here

    20. Know what you can and can’t do For most providers, long-term therapy for clients is not an option More effective to work with behaviors that result from ACES You can shift culture to change behavior! A reality check for providersA reality check for providers

    21. MikeMike

    22. "...everything can be taken from a man but one thing:  the last of the human freedoms -- to choose one's attitude in any given set of circumstances, to choose one's own way."  - Victor Frankl

    23. Mike Mike

    24. Resilience & Recovery Resiliency research (Frankl) Individual & community support each other a personal connection with someone who believes in him/her a sense that others have high expectations of him/her Growth = Challenge + Support opportunities to make choices – find purpose Recovery Identity, attitude, values, goals are all strengthened and shaped by resilience Mike shares quotes with the groupMike shares quotes with the group

    25. Culture & workforce Compassionate culture Personal development of staff with ACE scores Therapeutic community for clients recovering from ACEs (and other trauma) Staff builds relationships and models behavior Self care needed – Empathy is risky! Prevention of vicarious traumatization Rest, renewal, development Builds staff resilience! MikeMike

    26. Policies in support of culture Health & safety prioritized Creates a welcoming environment No use drug & alcohol policy Random and for cause testing for all Clear rules & expectations Extends into the community – mirrors community values Mike - Lots of emphasis here!Mike - Lots of emphasis here!

    27. MikeMike

    28. MikeMike

    29. MikeMike

    30. MikeMike

    31. MikeMike

    32. Results of ACE Informed Programs ACE knowledge + Program Development + Culture = Results! - In 2004 – 2005, COTS housed .01% (8 of 646) single adults with the same # of staff in drop-in center and winter shelter programs - In 2008 – 2009, 48% (283 of 590) unduplicated individuals were successfully housed in transitional or permanent housing with ACEs informed programming at the Mary Isaak Center. MikeMike

    33. Mike and Heather address questionsMike and Heather address questions

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